Mrs Miranda Lyn Middona, LCSW is a
Social Worker - Clinical based in Elburn, Illinois. Mrs Miranda Lyn Middona is licensed to practice in Illinois (license number 149015352) and her current practice location is
913 Kindberg Court, Elburn, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 365-4211.
NPI number for Mrs Miranda Lyn Middona is 1619232154 and her current mailing address is 913 Kindberg Court, Elburn, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619232154.
Healthcare Provider's Profile
Full Name | Mrs Miranda Lyn Middona |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 913 Kindberg Court, Elburn, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619232154
- Provider Enumeration Date: 07/11/2012
- Last Update Date: 07/11/2012
Medical Identifiers
Medical identifiers for Mrs Miranda Lyn Middona such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619232154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 149015352 (Illinois) | Secondary |
104100000X | Social Worker | 149015352 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149015352 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Miranda Lyn Middona is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Miranda Lyn Middona, LCSW 913 Kindberg Court, Elburn, IL 60119 Ph: (630) 365-4211 | Mrs Miranda Lyn Middona, LCSW 913 Kindberg Court, Elburn, IL 60119 Ph: (630) 365-4211 |
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